Medshield Hospital Plan Benefit Options in South Africa
Having hospital insurance is very important for you and your family. It can help pay for treatment in case you are injured or even die in an accident. It can also help to pay for unexpected bills, such as car repairs. But what exactly does a hospital plan entail? Here’s a look at how the hospital plans in South Africa work.
Hospital plans A hospital plan usually requires you to pay a regular monthly premium which would then pay for you to receive medical aid and treatments as an in-house patient in a private hospital. However, if you require cover for more medical aid given outside of a hospital such as visiting your GP, seeing the dentist or obtaining new glasses from the optician, then a hospital plan wouldn’t cover these expenses… at least not immediately. You would then have to make a payment for any treatment you received from these medical aids. The monthly premium you pay can vary, depending on a variety of factors including age, gender, chronic health problems and so on. In general, hospital plans tend to offer good coverage and you will often find that most hospitals offer a comprehensive package for patients who may need to take out medical aid, including treatment for chronic conditions. These are usually called “catastrophic” medical covers, and they can sometimes be worth the cost of the hospital plan itself because they can help if you have a long road to recovery after being ill for a few months or even a few years.
However, hospital plans do differ from individual medical cover in that they don’t cover pre-existing conditions. They also differ when it comes to annual contributions. Most individual medical plans in South Africa have fixed contributions, meaning that every time you make a contribution it becomes part of your medical costs. However, hospital plans have a variable contribution rate, which means that they vary by period and by the type of medical treatment involved. This means that they have different advantages and disadvantages, depending on how you choose to fund them.
As with any medical insurance plan, you can choose between fixed and variable rates, and you can also choose between annual and monthly contributions. So this means that there is a lot of freedom when it comes to choosing the right hospital plan benefit options for your needs. There are, however, certain factors that you should consider when choosing a medical cover in South Africa. It is important to take into consideration the following before choosing a plan:
Whether or not the hospital offers cover for dental procedures. If it doesn’t, then you will have to pay for all dental costs on your own. Many dental services are not covered in the health insurance plans offered in South Africa, including braces, implants, etc.
The number of hospitals included in the healthcare scheme. Most hospitals in south Africa only offer limited healthcare, and most of them don’t even offer surgery. As a result, if you do require surgery, then it could be quite expensive. However, some hospitals do offer surgery, and they have several specialists to choose from to provide you with the best care possible.